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Home My WebLink About2015-01287 - heating systems CITY OF ORONO �� - 2750 KELLEY PARKWAY * � 0 1 S - 0 1 2 8 7 * DATE ISSUED: 10/07/2015 ORONO, MN 55356- � 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2253 BAYVIEW PL PIN : 17-117-23-44-0029 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 027 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,918.00 NOTE: REPLACE 1 HEATING SYSTEM(AMANA) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.96 UPTOWN HEATING&COOLING MAIL-IN FEE 2.00 3110 WASHINGTON AVE.N. MINNEAPOLIS, MN 55411- TOTAL 53.96 (612)827-4674 Payment(s) CREDIT CARD 6085 53.96 OWNER RIOUX, KELLY 2253 BAYVIEW PL WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be ) revoked at any time for due cause. \ , ,�l' � �� 1 , ��, � :� � �,LC:�S �� -�� I��C� ( � � �- �- �-� � , Applicant Permitee Signature Date Issued By Signature Date 0� �-, 5, 201� 3; 14PM No, 4935 P, 1/3 ''FQR CITY fJSE dNLI� , � City of dt'Oa0 ,. ' `��,� � �� P.O.Box 66 Dat'c Reqcived �""�� pfdtllfC�9 ��f�-�� 27�o Kc11cy Patkway ' ', �� Amounc�$:�, ' Crystal Bay,MN 55323 A�pi�oved By_' �_,__�„__` � ' � Phone(952)24911600 Fax(952)249-4616 ti � � � � _ e C ITY OF aItO:VO MECHANICAL PE�IVIT �'rE51i0� (All Commercial permits musc bc appro�ed by the Suilding Official or Iasp�ctor ancllo IrrFire MarshalI) G�NER.AL I�FOR.'v1ATTON , � t. You Knay apply for mechanical permits by rnail o�-in person at the Ci offices_ A lieations wi11 �Y PP be reviewed and a permit will bc issued within two working days. 2. Permit cards will be sent by retum mai] after a re��iew is completed. PERMITS AR�NOT VALID UNTTT�YOC1 RECEIVE A,P�RN�ZT. WORK MUST NOT B�GIN U PERMiT CA�Rb IS POSTED ON T�IE JOB SITE. 3. 12chanical Desi r�is-Complete ealeuIations,detazls and specifications are required for eaeh heating,vezitilat�on,humidification-dehumidification;and air conditionxng inscallation including heat loss/h�at gain calculation;design temperatures,equipment ratings and identi�ication as tv ty�e,manufacturer and model. Data shall be�resented on form provided. 4. When any new construction or rcmodeling is involved,a separate buildiag pe�mit must be obtained. 5. Alt work must be done in accordance with the Uniform Meehanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-q8 hour notice required) 7. House Heating Test Record must he submitted before fi.nal. ' , ' , O�PERMIZ ,, �, ' ,, � TT'PE " ` ' Gheck All That A 1 ' �Residential . Commercial A roval ite u' ed ❑ � PP 9 u ) ❑ New ❑Additional �Repairs [�]Replace r 7ob Site Y Qwtie'Ia��'oxi�aatio�i:� ,: � Site Address: ��'J \J 4 Owner: l U 'Vlailing Address: �/�� y ��: � _ Z�p: S��q1 Home Phone_ � ��`" Altemate Phone: Contractor Information: ' , . � � , , Contractor: v VS� Contact Persan: �11 Address: �11� UJ� �'� 'I� 1�^�� State�o�d ,#: � �it�: \ o � Zip� 1�� Expira�ion Date: Phone: '01/� � 1 Altemate Phvne: \Q1�/��-`�� ❑ Tnsu.rance— Current: 1 Oct. 5, 2G15 3: 14PM No. 4935 P, 2/3 i� �� q�i t��p <<apo �,�u�lP(w!� �.,�j�n�_,,.,, ,�i l!4`.- � . �e ,. ,�..s� �fa�.i,��{S{��Idf�v��:r !�1�1�j!'y�}!i�}t o�Nt)��; � I��C'.T,�!�'d��'9�>i��1,�t�I��k�i��I�r�B�{1�fU '��k A+`� . i ��E+ �'Ifif., �(.,. 1 t, ''` �!1 e', I ,IIIi�Vti�i(i•�tl�}f;�l�i�'��;�}1i��'��Sf,d a�Xi41�l��fl`�ii; � Note:All Geothermal Systems will��ow require a Site Plan&Review by our Building Official. IS THIS GEQTFIER�'IAL? ❑ Yes ❑No IiEATING SX5'��1V�S Quantity; Make: a--� Model: �''�S 1�� o�� Fuel: Flue Size: Input BTUS: �0 0 putput BTUs_ CFM: VO CQQI��IVG SYST�MS Quantiry� Make: Mod�L• Tons: H.Power k'IREPLACES ❑ Gas Factory Fireplace Srand Name: [� Wood Suming�ircplace ❑ Wood Stove Modsl No,: __ ❑ Wood Stove with Fluc/Masonry VENTILATIdN ❑ No. Kitchen Exhaust duct rccirculating cfm � No. Bath Exhaust(must have duct outside) �fm ❑ No. Other Fans: Locatioz�s �frn FUEL STO�tAGE (Must be approved by Fire Marsl2al!if proposing to a6andon rank in place.) ❑ Installation ❑ Remaval Fuel 0i1; gallons ❑ Underground ❑I�nside ❑Outside LP Gas: gallons Other; CAS LINE ONLY 0 Outdoor Grill ❑ Other/List What&Where: 2 Oct. 5, 201� 3: 14PM No, 4�35 P, 3i3 ` r,.: , � � I�i� : �1�� A.-��',; k��ti7�J,V�`1��j ..� ��ii 3 0 ��t i,,{,�v';�t�9� I ii; � i �i -i � .+ �G 17 ' ', li I i '. I� p� m�d I i �.ti�I i.. . . . � �i i 9.,��i°�i��i��,� �� Y ' ' � �S��4p� , ��02 ��'A;��T�'TC7E` r . : , : . : � � �. �:,.r .�.� ��; . , ;�� ❑ Yes,this section app�ies The replacement of a Ressdential fixture or aQpliance that meets all tluee of the foltowing requirements: 1. Does not require modifieation to electrical or gas service. 2. I-�as a total cost of��00.00 or less;excludin.Q the cost of the fixture or appIiance: and 3. Is impro��ed,installed or replaced by the homeowner or licensed contractor_ Skip next section,if this applies; Cost of Permit $ 15.00 State SuCcharg� � 1.00 Mail-In Fec(If Applicable) $ Z.00 Tata�Permit�ee $ ,.�; �a ,. y P R7� l�� e r � i � �S � i 9 r��,, I I G t r'l'If��,��d!S a.�'f",�li{r�4.:.'fl�f4 t� � ��"� �.��'��''� � ,'��I.�i; '�� ' t , � ��V�.�. I�s,fl;ljn,t�1 �`� 3,h1,�Ij�,I �f ; i,'i�..a a i ��. If above does not apply;follow guidelines belaw: 1. CONTR�iCT PRICE * is 1.25% f contract price with a(,'��wnimum Fee of$50.00) �� x .0125� �jU - �O (concrsct pnce) (minimum$50.00) 2. STATE SURCHARGE � ' `, x .0005 � � (con[ract pricc} 3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00 4. TOT_AI.PERMIT F��(Add Lines 1-3 Above) $ � .�� ■ * CONTRACT PRICE or JQB COST means the actual or esti�nated dollar amount charged for the pennitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. I�a��y material, equipment, labor or installations are fumished by the o��nCr, tcnant or any other party, the rcasonablc markct valuc of such itcros muSt bt addGd to the zstimated cost or contraet price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciry may request tlie submission of a signed copy of the actual contract. 1 ��.�t � � � Ik�ifl�t N�I.'.�. ,,.,:rry Y '� ii_.� ,��,. � ' . ��6'� �� i� � .i�i.Cl i ,`'ff:i�f��lti��^�tf,.11l�'� of;' i1 � d�. ! t v � �",t:' ,� � I,.( � � y�i �� ! i i��i. f�� i .r, � � ' !Z'� t� ' . �.!�� !� ,s ,�:i:' The undersigned hereby applies to the City for issuance of a Mechanical �ermit, agrees to do all work in strict accordance witk� the ordinances o� the Czty azid tYze regulatiozas of the State of '.vlinnesota, and certifies that all sta.tements made on this application are complete, tnle and coiTect, Applicant's Signature: bate: �� 3 �/� � �-�� DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 1� l �,� g; 30 PERMITNO.o�o�5 � O\��'7 COMPLETED ADDRESS�a 5 3�o,�, v t�ea�.S � OWNER � �� TELEPHONE NO.�o�a-73�- �aS� CONTRACTOR � � �c� - � DESCRIPTION �u.`r'n�- �� ly� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� W a � J O � � O � W 2 Q � 2 W W � j d W ❑WORKSATISFACTORY:PROCEED ❑ OJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED tf�IS UE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION T TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 h rs in advance. (95 ) 249-46�0 OwnerlContractor on site: inspector. White Copyllnspector's File Canary Co ylSite Noti�e